Active NPI
John Sragowicz, PA-C (PHYSICIAN ASSI
- Physician Assistant
- Miami, FL
National Provider Identifier
1700116696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- FLPA9101780
- Practice address
- 971 NW 2ND St
Miami, FL 33128-1205 - Phone
- (305) 545-7737
- NPI assigned
- Dec 28, 2009
- Last updated
- Apr 19, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | FLPA9101780 | FL | Primary |
Addresses
Primary practice location
971 NW 2ND St
Miami, FL 33128-1205
Mailing address
971 NW 2ND St
Miami, FL 33128-1205
Phone (305) 545-7737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002316600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FLPA9101780 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1700116696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "971 NW 2ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331281205",
"telephone_number": "305-545-7737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 NW 2ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331281205",
"telephone_number": "305-545-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SRAGOWICZ",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PA-C (PHYSICIAN ASSI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-28",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "FLPA9101780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002316600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.